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Frontier Health — NPI 1760838197, Kingsport, TN | NPI Central

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NPI 1760838197

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Frontier Health

NPI 1760838197 · Foster Care Agency · Kingsport, TN

Provider details

NPI number: 1760838197
Entity type: Organization
Primary specialty: Foster Care AgencyAgencies
Parent organization: Frontier Health
Organization subpart: Yes
Authorized official: Teresa Kidd, President & Ceo(423) 467-3600
License: SO/11429A (TN)

Specialties & taxonomies

Foster Care AgencyPrimary253J00000XLicense SO/11429A (TN)
Agencies

Practice location

2001 Stonebrook Pl

Kingsport, TN 37660-4000

Phone: (423) 224-1000

Fax: (423) 467-3644

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

1167 Spratlin Park Dr

Gray, TN 37615-6205

Other names (DBA / former)

Doing business as: Traces

Registry dates

Enumerated: 2016-05-04
Last updated: 2016-05-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.